Application of cerebral oximetry for a parturient with Takayasu's arteritis undergoing cesarean section: a case report.
10.4097/kjae.2013.65.2.158
- Author:
Eun Hye LEE
1
;
Eunsu CHOI
;
Wonsik AHN
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. aws@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral oximetry;
Cesarean section;
Epidural anesthesia;
Near-infrared spectroscopy;
Takayasu's arteritis
- MeSH:
Anesthesia, Conduction;
Anesthesia, Epidural;
Anesthesia, General;
Aorta;
Cerebral Arteries;
Cesarean Section;
Female;
Humans;
Ischemic Attack, Transient;
Neck;
Oximetry;
Oxygen;
Pregnancy;
Spectroscopy, Near-Infrared;
Takayasu Arteritis;
Tinnitus;
Unconscious (Psychology)
- From:Korean Journal of Anesthesiology
2013;65(2):158-162
- CountryRepublic of Korea
- Language:English
-
Abstract:
Takayasu's arteritis (TA) is a chronic inflammatory disease involving the aorta. Because TA sometimes involves cerebral arteries, anesthetic debates focus on cerebral monitoring. There is limited evidence as to which cerebral monitoring method is most adequate. Furthermore, there is insufficient evidence to determine which anesthetic technique is better for TA parturients. We experienced the case of a TA parturient who developed transient cerebral ischemia during cesarean section. The patient's TA involved her cerebral arteries, and her regional cerebral oxygen saturation (rSO2) was lower in the left side than in the right side. She complained of speech impairment, tinnitus, and stiffness of the posterior neck when the rSO2 levels dropped. The FloTrac/Vigileo(TM) system did not correlate with clinical symptoms, but the cerebral oximeter displayed the low oxygen saturation. We recommend the cerebral oximetry for cerebral monitoring in TA parturients who undergo cesarean sections, especially in hemodynamically unstable patients under regional anesthesia or unconscious patients under general anesthesia.
